Tajuan S

Tajuan S

Registered Nurse

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location of Tajuan SMesa, Arizona, United States

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  • Timeline

  • About me

    Manager at Blue Cross Blue Shield of Arizona

  • Education

    • Lewis University

      2008 - 2010
      MSN/MBA Nursing Administration
    • Bradley University

      1999 - 2004
      Bachelor Of Science in Nursing Nursing
  • Experience

    • University of Chicago Medical Center

      Jul 2005 - Jan 2012
      Registered Nurse

      Responsible for providing direct patient care to complex patients, maintain equipment and monitor the overall clinical status of critically ill neonates in the NICU. Provide a caring, safe and supportive environment to parents and family members. Lastly, Educate parents and families on how to care for their baby to ensure a safe transtion home from the NICU.

    • JSUMC

      Feb 2012 - Feb 2014
      Nurse Manager Assistant

      Managed day to day operations of the NICU, including delivery of patient care, supervising shift activities, and monitoring quality of service. Also Responsible for managing payroll, dveloping staffing plans and assignments in accordance with budgetary guidelines, interviewing applicants and evaluating staff members and disciplining team members when necessary.

    • Nursefinders

      Mar 2014 - Sept 2014
      Travel NICU Nurse

      Provide direct and individualized nursing care to premature and critically ill neonates in the NICU.

    • AMITA Health

      Jun 2014 - Nov 2021
      Registered Nurse

      NICU Nurse who provides direct and individualized nursing care to premature and critically ill neonates in the NICU. Collaborate with multidisciplinary teams within the NICU to ensure babies have a safe discharge home with their families.

    • Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

      Oct 2014 - Mar 2022

      Telephonically manage members health care needs by making outbound calls to assess and identify gaps in care and barriers in treatment plans. Educate members on their disease processes by encouraging healthy lifestyle changes. Provide members with referrals to outside vendors to help them coordinate and manage their disease process better. Complete pre-admission and post discharge counseling for members with acute and chronic conditions. Perform initial, concurrent, and retroreviews based on medical necessity utilizing mcg criteria. Collaborate with hospital case managers, social workers, and utilization coordinators in care coordination and discharge planning. Show less

      • Unit Manager

        Apr 2018 - Mar 2022
      • Primary Nurse Case Administrator

        Oct 2014 - Apr 2018
    • Blue Cross Blue Shield of Arizona

      Apr 2022 - now
      Manager of Integrated Care

      Manage a diverse clinical team who performs prior authorization and concurrent reviews to determine medical necessity in the inpatient and outpatient settings.

  • Licenses & Certifications

    • MCG

      MCG Care Guidelines
      Sept 2015
    • Texas Nursing License

      Texas Board of Nursing
      Oct 2021
    • Arizona

      ARIZONA ASSOCIATION FOR NURSING PROFESSIONAL DEVELOPMENT
      Nov 2020
    • Nursing Case Management (RN-BC)

      Commission for Case Manager Certification (CCMC)
      Aug 2016
    • Illinois Nursing License

      National Council of State Boards of Nursing (NCSBN)
      Jul 2005